Dr Edilberto E Nepomuceno Jr, MD | |
3700 W 203rd St Ste 301, Olympia Fields, IL 60461-1182 | |
(708) 679-2850 | |
Not Available |
Full Name | Dr Edilberto E Nepomuceno Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 44 Years |
Location | 3700 W 203rd St Ste 301, Olympia Fields, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801877337 | NPI | - | NPPES |
036069957 | Medicaid | IL | |
1124322680 | Other | IL | GROUP NPI |
806290 | Other | IL | MEDICARE GROUP PTAN |
364317999 | Other | IL | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036069957 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St James Home Health Service | Olympia fields, IL | Home health agency |
Franciscan Health Olympia Fields & Chicago Heights | Olympia fields, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Specialty Physicians Of Illinois Llc | 4183529456 | 110 |
Entity Name | Specialty Physicians Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124075676 PECOS PAC ID: 4183529456 Enrollment ID: O20031201000602 |
Mailing Address | Practice Location Address |
---|---|
Dr Edilberto E Nepomuceno Jr, MD 35318 Eagle Way, Chicago, IL 60678-1353 Ph: (317) 528-4800 | Dr Edilberto E Nepomuceno Jr, MD 3700 W 203rd St Ste 301, Olympia Fields, IL 60461-1182 Ph: (708) 679-2850 |
Mr. Praneet Satyendra Mylavarapu, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-855-7297 Fax: 708-503-3296 | |
Chintan Shah, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Albara Said, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3302 Vollmer Rd, Olympia Fields, IL 60461 Phone: 708-898-0811 Fax: 708-898-1839 | |
Anand Kumar Gupta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-679-2160 Fax: 708-679-2161 | |
Dr. Matthew L Kamin, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 W 203rd St Ste 204, Olympia Fields, IL 60461 Phone: 708-679-2670 Fax: 708-503-3260 | |
Dr. Edward Joseph Winter, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 20945 Cambridge Ln, Olympia Fields, IL 60461 Phone: 708-747-6929 Fax: 708-747-6929 | |
Dr. Savio G Manatt, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20060 Governors Dr Ste 204, Olympia Fields, IL 60461 Phone: 708-283-8300 Fax: 708-283-9245 |